| NPI | 1699221101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 024663) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |