| NPI | 1578686622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.011396) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2018-08-06 |