| NPI | 1942557251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: ME PT3944) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-10-20 |