| NPI | 1750823332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1282420) |
| 225100000X Physical Therapist (Licence: VA 2305210735) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |