| NPI | 1407530371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH PT020520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020520) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-01-29 |