| NPI | 1710236450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34648) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.013657) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2021-12-17 |