| NPI | 1144771742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4486) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211241) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2022-03-14 |