| NPI | 1376982892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 14273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208743) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-10-11 |