| NPI | 1386746170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010297) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-09-04 |