| NPI | 1528033388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 4371) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2494) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-03-13 |