| NPI | 1972953073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1273190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013796) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |