| NPI | 1073812665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA3647) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME 0A2499) |
| 174400000X Specialist (Licence: ME PA3647) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-04-15 |