| NPI | 1770112369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 5035) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH 0133741) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |