| NPI | 1124527890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1313797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017269) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-03-17 |