| NPI | 1477321818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP024809T) |
| 225100000X Physical Therapist (Licence: CO CP026963T) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-01-15 |