| NPI | 1609321587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012079A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016267) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-10-25 |