| NPI | 1134466014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28040) |
| 225100000X Physical Therapist (Licence: NC 13837) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2021-04-07 |