| NPI | 1235193442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 11544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004487) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-11-20 |