| NPI | 1659581569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008360A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 003730) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-05-25 |