| NPI | 1063069847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL25419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5476) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-12-02 |