| NPI | 1700161585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT006514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871258) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2023-12-05 |