| NPI | 1457832701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23744) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-02-20 |