| NPI | 1386890580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06003296A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.004789) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-02-17 |