| NPI | 1659931228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT18140) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-08-09 |