| NPI | 1033733860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT5620) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: ME PT5620) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-10-04 |