| NPI | 1316183981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 4632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5259) |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2022-10-26 |