| NPI | 1730654799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160008257) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2018034768) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-07-07 |