| NPI | 1447278460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 005681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002095) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-05-16 |