| NPI | 1306682596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12824) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH CP041063T) |
| 225100000X Physical Therapist (Licence: NC P22054) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-05-23 |