| NPI | 1477038990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1214949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014381) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-08-19 |