| NPI | 1912408972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ME PT6884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21707) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2025-05-21 |