| NPI | 1629430533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC CP026346T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020002.MIL) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-12-07 |