| NPI | 1265138044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP018284T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT015385) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-05-02 |