| NPI | 1194839845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT009540) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-11-29 |