| NPI | 1215179536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.013643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35535) |
| 225100000X Physical Therapist (Licence: IN 05008928A) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-02-05 |