| NPI | 1255746418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.003989) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002898A) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |