| NPI | 1669143194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160008642) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2019040283) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |