| NPI | 1487818795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.003137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019311) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2015-07-02 |