| NPI | 1205067592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT009566) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-04-21 |