| NPI | 1366924037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.019432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045464) |
| 225100000X Physical Therapist (Licence: NC P18262) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-09-30 |