| NPI | 1861169310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7129) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40321) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-05-07 |