| NPI | 1841937463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP031842T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019770) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-06-10 |