| NPI | 1407679533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA6017) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 53558) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |