| NPI | 1740804145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018555) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2022-03-23 |