| NPI | 1386607943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 10763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 4783) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |