| NPI | 1639912736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA7108) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306605864) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-04-21 |