| NPI | 1497235402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016477) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2023-11-07 |