| NPI | 1871984187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 0007052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT015188) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2023-03-01 |