| NPI | 1225683337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-018250) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-12-15 |