| NPI | 1477687747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.012977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT25637) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA PT25637) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-11-16 |