| NPI | 1598133464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5907) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2025-01-15 |