| NPI | 1043445281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012248) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-11-05 |