| NPI | 1154970994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13581) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5486) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-01-07 |