| NPI | 1831149038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11771) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT9662) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-01-21 |