| NPI | 1134536667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.002709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041345036) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |