| NPI | 1467932582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT010206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 70221) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-09-12 |