| NPI | 1255566600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011957) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |