| NPI | 1881366102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP014659T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28488) |
| 225100000X Physical Therapist (Licence: DC PT872763) | |
| 225100000X Physical Therapist (Licence: VA CP014616T) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-10-03 |