| NPI | 1023651452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34875) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-05-11 |