| NPI | 1497270441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017141) |
| 225100000X Physical Therapist (Licence: PA PT026337) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-05-25 |