| NPI | 1912230525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.016880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 009740) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-15 |