| NPI | 1336521095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 1155773) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014068) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-07-10 |