| NPI | 1225234396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT012157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009249A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-06-24 |