| NPI | 1568758852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007517) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2019-08-08 |