| NPI | 1285181941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8327) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OH PT016508) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-11-20 |