| NPI | 1912158460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160008182) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA PTA8801) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-02-09 |