| NPI | 1164725867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1699-09) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.005499) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2015-09-12 |