| NPI | 1063474641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 8072) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-01-10 |