| NPI | 1629798988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2539) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-10-08 |