| NPI | 1154507457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 1029) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA5278) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2025-10-30 |