| NPI | 1669751913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01402800) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-07-07 |