| NPI | 1245677095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017336) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-09-11 |