| NPI | 1386528925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT7475) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2026-07-29 |