| NPI | 1851044853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4936) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25948) |
| 225100000X Physical Therapist (Licence: ME 5379) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2026-04-13 |