| NPI | 1427479997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014579) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2021-11-03 |