| NPI | 1982739439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP014643T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist, Geriatrics (Licence: OH PTO17175) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-10-18 |