| NPI | 1508413667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017365) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |