| NPI | 1285103283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4411) |
| 225100000X Physical Therapist (Licence: ME 5294) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-10-15 |