| NPI | 1174910749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1978) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160005722) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |