| NPI | 1487702429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 008676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT 009636L) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |