| NPI | 1497170054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH RN.450246) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH LPE046052) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-12-18 |