| NPI | 1528635836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13445090-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019163) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2023-10-03 |