| NPI | 1700247939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016247) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-07-25 |