| NPI | 1144624859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.015011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006473) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |