| NPI | 1811644313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT7093) |
| 225100000X Physical Therapist (Licence: MD 30322) | |
| 225100000X Physical Therapist (Licence: NC P21046) | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-06-03 |