| NPI | 1508559808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-009048) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020577) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-12-06 |