| NPI | 1942630975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014561) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2019-04-23 |