| NPI | 1568745289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-021340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-013617) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-07-14 |