| NPI | 1982309159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT020289) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT031168) | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-05-31 |