| NPI | 1972928539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05002696A) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2019-01-04 |