| NPI | 1336495985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160002266) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: IL 000921426) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |