| NPI | 1942925193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13069870-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019280) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-02-09 |