| NPI | 1760732549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011707A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 13339) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2015-04-13 |