| NPI | 1780119339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1282399) |
| 225100000X Physical Therapist (Licence: KY 006951) | |
| 225100000X Physical Therapist (Licence: MD 26175) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |