| NPI | 1235221938 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018339)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015286)  | 
| Enumeration Date | 2006-09-29 | 
| Last Update Date | 2019-09-11 |