| NPI | 1164735676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1211290) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2013-09-10 |