| NPI | 1518310275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ID 4753) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH 015353) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |