| NPI | 1255808846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027434) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017787) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2021-08-20 |