| NPI | 1356517049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 1360) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2019-06-28 |