| NPI | 1982142121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4352) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT6020) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT025840) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2025-01-16 |