| NPI | 1093289001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 6358) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-01-15 |