| NPI | 1144876061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5456) |
| 225100000X Physical Therapist (Licence: PA PT032154) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2024-05-03 |