| NPI | 1558533216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: ME PT4149) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NM 3420) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2015-06-09 |