| NPI | 1710382353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 007545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT010595L) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2019-12-16 |