| NPI | 1366069619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP011330T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007961) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-09-14 |