| NPI | 1639394018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH NH3511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3008) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-01-31 |