| NPI | 1164083085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018126) |
| 225100000X Physical Therapist (Licence: IA 097038) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2021-02-15 |