| NPI | 1518299569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2692) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2016-08-25 |