| NPI | 1447652995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7112) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037931) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2025-06-18 |