| NPI | 1891846341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010298) |
| 225100000X Physical Therapist (Licence: PA PT019154) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-07-27 |