| NPI | 1114654670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV CP014724T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 614116) |
| 225100000X Physical Therapist (Licence: OH PT020046) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-11 |