| NPI | 1447438700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT012045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT05286) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2011-05-09 |