| NPI | 1467019570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12460) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-11-28 |