| NPI | 1003535329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP014817T) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-10-23 |