| NPI | 1891817409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT00187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 11299) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-06-29 |