| NPI | 1124692280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP025025T) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2023-09-07 |