| NPI | 1790181683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 5647) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160006175) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |