| NPI | 1366817785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT001904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT006172) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2016-05-27 |