| NPI | 1225307275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.012533) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2014-03-17 |