| NPI | 1831810316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2575) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |