| NPI | 1689112039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012095A) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-08-01 |