| NPI | 1023520186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014596) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-04-17 |