| NPI | 1215107800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.013871) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004986) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2013-01-15 |