| NPI | 1558566182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OH 7515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 373397) |
| 225700000X Massage Therapist (Licence: OH 7515) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-12-05 |