| NPI | 1861777153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 013462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6559) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-05-07 |