| NPI | 1437679552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH APP-000085153) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |