| NPI | 1760840128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017818) |
| 225100000X Physical Therapist (Licence: KY 006779) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2022-05-10 |