| NPI | 1427663129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004305) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-02-03 |