| NPI | 1588630412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 07642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029440) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-12-15 |