| NPI | 1467570325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009894A) |
| 225100000X Physical Therapist (Licence: OH PT 8405) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-04-25 |