| NPI | 1760731251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011927A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.012804) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-01-20 |