| NPI | 1700496676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018562) |
| 225100000X Physical Therapist (Licence: KY PT-007950) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |