| NPI | 1295336667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008233) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-11-13 |