| NPI | 1174763049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2665) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.005042) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2011-11-04 |