| NPI | 1407408859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 012054) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA5120) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-04-20 |