| NPI | 1295519148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4556) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-04-13 |