| NPI | 1457022741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25718) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 6946) |
| 225100000X Physical Therapist (Licence: NH 4889) | |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2024-10-01 |