| NPI | 1235448846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT005684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT 002929) |
| 225100000X Physical Therapist (Licence: OH PT 013081) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2011-03-04 |