| NPI | 1073608717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 014165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 6410) |
| 225100000X Physical Therapist (Licence: DE J1-0002231) | |
| 225100000X Physical Therapist (Licence: PA PT017370) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-10-12 |