| NPI | 1831416288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305207808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 003932) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2024-08-10 |