| NPI | 1245426477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.012778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70015954) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-11-10 |