| NPI | 1871982181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt024128) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2021-01-18 |