| NPI | 1942681168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4919) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: ME PT4545) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-01-18 |