| NPI | 1073769691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT009993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL IL070016441) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-01-16 |