| NPI | 1255565677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 011721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18356) |
| 225100000X Physical Therapist (Licence: CA 34670) | |
| 225100000X Physical Therapist (Licence: TX 1180090) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |