| NPI | 1184096091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2787) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-08-18 |