| NPI | 1598514838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502006355) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA7267) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2026-03-25 |