| NPI | 1598846255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305004574) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 10748) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-07-01 |