| NPI | 1285995506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2011032480) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160005741) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |