| NPI | 1346473162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT014167) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA PT009734) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2013-06-06 |