| NPI | 1740737378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11126) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-07-18 |