| NPI | 1700135282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 11687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 5362) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |