| NPI | 1144272550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 11381) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-01 |