| NPI | 1942518162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.012929) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2014-09-22 |