| NPI | 1427607779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014336) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2021-07-13 |