| NPI | 1881061117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012110A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.015349) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2016-10-29 |