| NPI | 1982367223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016044) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH PT016044) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |