| NPI | 1710109475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH 007464) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 012540) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-06-24 |