| NPI | 1588223283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023978) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |