| NPI | 1811427149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LPT-013118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016941) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-07-22 |