| NPI | 1376038802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60837942) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-06-29 |