| NPI | 1831392117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-011595) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH PT-011595) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-10-24 |