| NPI | 1376772228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013128) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2016-09-26 |