| NPI | 1033236955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA3071) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0846) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2009-05-12 |