NPI | 1083761514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 016715) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 507594) |
163W00000X Registered Nurse (Licence: FL 9606549) | |
163W00000X Registered Nurse (Licence: KY 1179225) | |
225100000X Physical Therapist (Licence: FL 20357) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2023-10-05 |