| NPI | 1235542200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014744) |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2015-06-05 |