| NPI | 1174095277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016837) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63091) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |