| NPI | 1124214416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 009830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5301) |
| 225100000X Physical Therapist (Licence: CA 33436) | |
| 225100000X Physical Therapist (Licence: SC 5191) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |