| NPI | 1215227418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.004838) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2070398) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |