| NPI | 1932855376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT019637) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-09-06 |