| NPI | 1114202009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1373-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160003593) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2014-12-18 |