| NPI | 1629263462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 10041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY NY 005693-1) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-07-14 |