| NPI | 1205025343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.011937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25546) |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2024-06-26 |