| NPI | 1437623428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 017347) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |