| NPI | 1710278387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1203479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT007223) |
| 225100000X Physical Therapist (Licence: IN 05010399A) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |