| NPI | 1538812524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-5923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011085L) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |