| NPI | 1306259593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 013109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207195) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-07-27 |