| NPI | 1861094252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25229) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-08-24 |