| NPI | 1588158521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017543) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-03-20 |