| NPI | 1467652123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 7567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 011655) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2013-11-20 |