| NPI | 1366052458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 004793) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |