| NPI | 1639558612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014789) |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2018-11-14 |