| NPI | 1205515103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP025923T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019386) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-11-06 |