| NPI | 1659502474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH 012540) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-12-12 |