| NPI | 1992191878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17620) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OH PT.015009) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-03-12 |