| NPI | 1982152583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006931) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-11-13 |