| NPI | 1295207165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11666117-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017426) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-06-15 |