| NPI | 1679930259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT004440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020634) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2024-01-09 |