| NPI | 1376799411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 10055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005863) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2012-01-03 |