NPI | 1568975936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017177) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH PT017177) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2019-08-16 |