| NPI | 1740237494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 3134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3455) |
| 225100000X Physical Therapist (Licence: CT 007876) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-09-28 |