| NPI | 1326735770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP021530T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OH PT020137) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-05-11 |