| NPI | 1962835033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013382) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-06-24 |