| NPI | 1982935151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT006868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21528) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2021-09-03 |