| NPI | 1063893477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.015461) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-02-06 |