| NPI | 1447395165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME pt2518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6169) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-03-22 |