| NPI | 1861081663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP018008T) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-11-10 |