| NPI | 1821420340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0094760) |
| 225100000X Physical Therapist (Licence: ME PT5925) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-06-01 |