| NPI | 1952778029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4473) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2025-10-08 |