| NPI | 1942525621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160002851) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 117373) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |