| NPI | 1013354794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9173) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 009895) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |