| NPI | 1598022238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60511777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.013624) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-10-31 |