| NPI | 1063938421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017571) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |