| NPI | 1902311004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160005927) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 6508) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |