| NPI | 1114242880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ME 3989) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 3989) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 026391) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2023-12-28 |