| NPI | 1598075400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 117974) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.003068) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |