| NPI | 1013983840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH PT 09521) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY CPO27196T) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-03-07 |