| NPI | 1639258460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 1444) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-12-02 |