| NPI | 1245545110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 22662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 009483) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |