| NPI | 1073801304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.013668) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2014-12-22 |