| NPI | 1558817049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028935) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4110) |
| 225100000X Physical Therapist (Licence: MA 21783) | |
| 225100000X Physical Therapist (Licence: OH PT015273) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-04-18 |