| NPI | 1033840657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT017277) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501019746) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-06-07 |