| NPI | 1306866256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 008508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2620) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-12-30 |