| NPI | 1922718329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299070) |
| 225100000X Physical Therapist (Licence: TX 1344370) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |