| NPI | 1831385079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18064) |
| 225100000X Physical Therapist (Licence: PA PT022536) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2023-08-27 |