| NPI | 1275307167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT7220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 8885) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-08-18 |