| NPI | 1285076901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014263) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-09-19 |