| NPI | 1063660413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 012481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012481) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2024-04-04 |