| NPI | 1386251650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT10441) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018696) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-10-09 |