| NPI | 1750149241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA6100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT2094) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |