| NPI | 1881272292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019111) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |