| NPI | 1790458321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 018620) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-10-29 |