| NPI | 1821367418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.006021) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 1227-19) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2021-07-23 |