| NPI | 1548704067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 015254) |
| 225100000X Physical Therapist (Licence: PA PT023770) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2021-03-15 |