| NPI | 1093148900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT015255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011124) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-11-10 |