| NPI | 1184992703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3444) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OH 012845) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2022-07-21 |