| NPI | 1356710792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH 1901660) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003361) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-11-12 |