| NPI | 1437950565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2025005899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT7078) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-06-11 |