| NPI | 1598994352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT304636) |
| 225100000X Physical Therapist (Licence: GA PT015704) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-01-09 |