| NPI | 1588117022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 4959) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22441) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2023-04-05 |