| NPI | 1487855490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-010433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 10433) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-09-12 |