| NPI | 1245277524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT011434) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: OH PT.011434) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-09-25 |