| NPI | 1710506357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 6494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP02465OT) |
| 225100000X Physical Therapist (Licence: FL PT37954) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-11-13 |