| NPI | 1114271624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014055) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2019-02-26 |