| NPI | 1265551865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT006816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-06816) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-02-08 |