| NPI | 1093490930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT020223) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC CP022438T) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |