| NPI | 1033164777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 001316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT04013) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-02-28 |