| NPI | 1134497381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 08656) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160005022) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2013-05-06 |