| NPI | 1720717051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29825) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019798) |
| 225100000X Physical Therapist (Licence: PA PT030416) | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-03-25 |