| NPI | 1861650970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021352.mil) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03805) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2024-10-21 |