| NPI | 1689008153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT.0012364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014454) |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2013-09-02 |