| NPI | 1386110492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT007514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017738) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-10-10 |