| NPI | 1073125795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018746) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: VA CP017539T) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-05-15 |