| NPI | 1649284233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT34071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010817) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-12-05 |