| NPI | 1306235858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-006483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-014911) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2018-02-22 |