| NPI | 1679339188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020915) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP028248T) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |