| NPI | 1780872887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01174500) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2011-12-27 |