| NPI | 1841502077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012678) |
| 225100000X Physical Therapist (Licence: NY 030008) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2013-05-21 |