| NPI | 1821288531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 9730) |
| 225100000X Physical Therapist (Licence: KY PT 3726) | |
| Enumeration Date | 2007-07-29 |
| Last Update Date | 2009-08-27 |