| NPI | 1255398103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 10134) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-05-03 |