| NPI | 1710284237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.011764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1202130) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |