| NPI | 1215145602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: OH PT013628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103583) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-08-14 |