| NPI | 1477042174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1298189) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-09-07 |