| NPI | 1568547875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10871) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-10-28 |