| NPI | 1568830610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 001412) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.006339) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |