| NPI | 1497926570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1271) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: ME PT3261) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2021-04-23 |