| NPI | 1386252823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16670) |
| 225100000X Physical Therapist (Licence: NH 4651) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-06-18 |