| NPI | 1134392335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-005787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012383) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2021-05-20 |