| NPI | 1285030304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020285) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |