| NPI | 1871180315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019037) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2022-02-10 |