| NPI | 1689318743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019877) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-05-18 |