| NPI | 1407323116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007502) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |