| NPI | 1215349261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 015251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020727) |
| 225100000X Physical Therapist (Licence: NC P14877) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-12-07 |