| NPI | 1225643943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ME PT7219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 213688) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-08-11 |