| NPI | 1508982596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT011885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008681) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-11-18 |