| NPI | 1386790210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME pt2529) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-05-10 |