| NPI | 1487659645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: KY PT002633) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: OH PT06901) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-01-28 |