| NPI | 1285883645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 017096) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2023-04-26 |