| NPI | 1356509483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 009423) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5596) |
| 225100000X Physical Therapist (Licence: HI 2071) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-10-17 |