| NPI | 1760510515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.010957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2265) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |