| NPI | 1609049097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160004072) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2064890) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2021-02-12 |