| NPI | 1174874085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OH 10704) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NV 1866) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |