| NPI | 1124275144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.003257) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00277) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |