| NPI | 1699019158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 356) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 2957) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2014-08-10 |