| NPI | 1154314003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017542) |
| 225100000X Physical Therapist (Licence: PA DAPT002641) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT003841) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-07-24 |