| NPI | 1003168410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.013995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014361) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2020-11-11 |