| NPI | 1992370647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018761) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-01-25 |