| NPI | 1932627379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028521) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2021-04-22 |