| 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 |