| NPI | 1306028717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006709) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 011969) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-02-03 |