| NPI | 1053504365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: KY 004451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 009431) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |