| NPI | 1063777613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160004650) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06004433A) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |