| NPI | 1396371837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT004244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018510) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |