| NPI | 1346852316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0134187) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-06-24 |