| NPI | 1437715372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH PT017339) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-10-06 |