| NPI | 1477938868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3811) |
| 225100000X Physical Therapist (Licence: MA 21054) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2020-10-04 |