| NPI | 1760867642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP032028T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018881) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2025-07-28 |