| NPI | 1104198845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 3119) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics (Licence: OH 3119) |
| 2251G0304X Physical Therapist Geriatrics (Licence: OH 3119) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |