| NPI | 1629456819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06004455A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160006192) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |