| NPI | 1124473020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020362) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040022) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-01-25 |