| NPI | 1467968768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007116) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |