| NPI | 1881648137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2402) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT1966) |
| 225100000X Physical Therapist (Licence: MA 10310) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-07-21 |