| NPI | 1649524224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 014610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9430) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2018-09-10 |