| NPI | 1801349816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP022835T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0014417) |
| 225100000X Physical Therapist (Licence: CA 291615) | |
| 225100000X Physical Therapist (Licence: AK 172060) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2024-06-06 |