| NPI | 1053592154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010048) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011967) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2015-04-20 |