| NPI | 1790036200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 019473) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.08578) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-10-23 |