| NPI | 1528422250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 014730) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60712270) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-08-06 |