| NPI | 1508400730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 018245) |
| 225100000X Physical Therapist (Licence: DC 872547) | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2023-05-16 |