| NPI | 1073801486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4417) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021453) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-04-06 |