| NPI | 1346442027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT2633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011190) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-10-09 |