| NPI | 1396177358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014437) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2022-05-18 |