| NPI | 1184107245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9258) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-05-29 |