| NPI | 1528619053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017193) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-01-23 |