| NPI | 1326653676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A7261) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.001168) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |