| NPI | 1104031970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012241) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-09-01 |