| NPI | 1912150095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA18636) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160-004428) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2011-01-20 |