| NPI | 1144500380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011405L) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2021-01-15 |