| NPI | 1003486481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05014304A) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-03-15 |