| NPI | 1902921083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011154) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-12-05 |