| NPI | 1194963983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 35543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2272) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2020-06-17 |