| NPI | 1134604986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03135) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-09-07 |