| NPI | 1033753751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 053140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5474) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-12-11 |