| NPI | 1700046380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011771) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-04-17 |