| NPI | 1740533983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6879) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2021-06-11 |