| NPI | 1073639373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 0018557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 08440) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |