| NPI | 1780854182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP031354T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CP031354T) |
| 225100000X Physical Therapist (Licence: OH PT-5077) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2024-05-24 |