| NPI | 1891519583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT6985) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-12 |