| NPI | 1700492089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-025423) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2022-10-12 |