| NPI | 1083152607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016732) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: OH 016732) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2022-08-23 |