| NPI | 1265709455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01420800) |
| 225100000X Physical Therapist (Licence: KY 005887) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2020-11-03 |