| NPI | 1548668023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60529769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 015048) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2024-05-03 |