| NPI | 1710135835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT009839) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-08-31 |