| NPI | 1083889349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 011622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 02691) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-07-08 |