| NPI | 1679098883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23058) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-03-23 |