| NPI | 1508424870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020156) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 11299703-2401) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-01-13 |