| NPI | 1275051948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT003826) |
| 225100000X Physical Therapist (Licence: PA PT026433) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2023-10-26 |