| NPI | 1720504913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23252) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2024-02-23 |