| NPI | 1124240122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4787) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ME pt4787) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-08 |