| NPI | 1568892065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1272827) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: OH PT-013507) |
| 2251X0800X Physical Therapist Orthopedic (Licence: OH PT-013507) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2022-12-28 |