| NPI | 1568040327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028969) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-05-09 |