| NPI | 1235119843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-006691) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2024-03-08 |