| NPI | 1588357289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP031839T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP021910T) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-06-10 |