| NPI | 1316227770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013361) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2015-07-20 |