| NPI | 1376789362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160006948) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2008031249) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2022-02-28 |