| NPI | 1275379331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP032499T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021087) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |