| NPI | 1184954232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 014885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008320A) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2023-03-22 |