| NPI | 1740738343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13627-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017483) |
| 225100000X Physical Therapist (Licence: IL 070022593) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2018-08-20 |