| NPI | 1902162522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.004097) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227002391) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |