| NPI | 1699846139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 9815) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-05-12 |