| NPI | 1326129651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT1238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT1238) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |