| NPI | 1386254159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018819) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-09-03 |