| NPI | 1619482593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.007954) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227008895) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-03-17 |