| NPI | 1376883603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160006342) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227001605) |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2015-01-26 |