| NPI | 1326719956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 015024) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.009166) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-12-04 |