| NPI | 1710399787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 015140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29213) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-09-29 |