| NPI | 1851405591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011356) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34499) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-07-28 |