| NPI | 1528899499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12547) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021198) |
| 225100000X Physical Therapist (Licence: SC CP031723T) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-12-23 |