| NPI | 1417425174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 6785) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.007107) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2024-06-03 |