| NPI | 1326497819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021444) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-09-27 |