NPI | 1720207582 |
---|---|
Former Name | KATHLEEN ELLEN SNOUFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PA PT017738) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002348) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-09-21 |