| NPI | 1427176015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010238) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-02-14 |