| NPI | 1376882811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.013318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207080) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-08-04 |