| NPI | 1336210046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT009735) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-06-22 |