| NPI | 1619927357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001124) |
| 225100000X Physical Therapist (Licence: OH 06214) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-04-03 |