| NPI | 1659703965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022924) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2020-01-23 |