| NPI | 1518276534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3671) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2022-12-05 |