| NPI | 1659883528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV CP027858T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3657) |
| 225100000X Physical Therapist (Licence: OR 62472) | |
| 225100000X Physical Therapist (Licence: ID PT-5346) | |
| 225100000X Physical Therapist (Licence: OH PT016868) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-02-05 |