| NPI | 1861235236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020426) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-10-17 |