| NPI | 1881022473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.014428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14518) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |