| NPI | 1790974558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-018783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018981) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2016-12-12 |