| NPI | 1740455575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH OHPT-0890) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH PT 22 5100000X) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2016-06-29 |