| NPI | 1740824168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5386) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-11-18 |