| NPI | 1336693548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4698) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-07-02 |