| NPI | 1467859561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024054) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-05-05 |