| NPI | 1154572691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 10642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009602A) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2018-03-17 |