| NPI | 1548983513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020623) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12837) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-10-04 |