| NPI | 1467966481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-017226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT-007310) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-10-04 |