| NPI | 1891933966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: OH PT013644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005384) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2022-06-16 |