| NPI | 1104294545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011824A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016064) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2018-08-22 |