| NPI | 1275730624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1175853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 009732) |
| 225100000X Physical Therapist (Licence: WV 002123) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-05-21 |