| NPI | 1417384421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT. 014431) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |