| NPI | 1538443858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.013455) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-05-06 |