| NPI | 1972845592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 160-000227) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 160000227) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-03-17 |