| NPI | 1164040838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017953) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.026213) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-06-18 |