| NPI | 1881015634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5118) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2025-09-30 |