| NPI | 1235336462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 005597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 010164) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-11-21 |