| NPI | 1184445736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP038585T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1400339) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-12-23 |