| NPI | 1508036138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012442) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 11485) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2009-11-11 |