| NPI | 1376839506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013257) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-09-27 |