| NPI | 1326147273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.016147) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 010500) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-09-27 |