| NPI | 1609326941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 11189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11186) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2023-04-15 |