| NPI | 1871084814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 017304) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13677) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2021-08-31 |