| NPI | 1669808184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO .2013000038) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.004820) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |