| NPI | 1215906201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 2317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1143931) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-08-19 |