| NPI | 1558108175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021240) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P-CP032402T) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-04 |