| NPI | 1669571576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT005185) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH PT-005185) |
| 225100000X Physical Therapist (Licence: WI CP033478T) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-10-25 |