| NPI | 1831322361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01320800) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-08-03 |