| NPI | 1023342383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 1901) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: ME 1901) |
| 2251N0400X Physical Therapist, Neurology (Licence: ME 1901) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2017-04-12 |