| NPI | 1952604779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 017378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36840) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2018-05-29 |