| NPI | 1346732724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017149) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-06-07 |