| NPI | 1972369072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29850) |
| 225100000X Physical Therapist (Licence: PA PT030277) | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-03-17 |