| NPI | 1447372875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 10590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016458) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2009-07-24 |