| NPI | 1497023899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT012498) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH PT 012498) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2021-12-03 |