| NPI | 1881155000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017886) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-09-11 |