| NPI | 1184093791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013152) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2023-05-17 |