| NPI | 1679859227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4359) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2023-12-17 |