| NPI | 1790117224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014422) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH PT.014422) |
| 174N00000X Lactation Consultant, Non-RN (Licence: OH L--320241) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2026-01-23 |