| NPI | 1659357697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013546) |
| 225100000X Physical Therapist (Licence: NC 9585) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2021-01-28 |