| NPI | 1467887778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60542) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014485) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-04-13 |