| NPI | 1013792175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5208) |
| 225100000X Physical Therapist (Licence: CA 306309) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-08-21 |