| NPI | 1689157653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 35166) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 012281) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2019-12-04 |