| NPI | 1730772054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019074) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-06-16 |