| NPI | 1235568593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME PT4041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4041) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2024-10-24 |