| NPI | 1841567005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.003734) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00773) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2020-09-28 |