| NPI | 1841034451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026805) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |