| NPI | 1811262850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13236) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2019-02-08 |