| NPI | 1659906105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018513) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013697A) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-06-30 |