| NPI | 1316408941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT004092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017915) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |