| NPI | 1336004332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7574) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5531) |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2026-09-21 |