| NPI | 1962954289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP008902T) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2022-01-28 |