| NPI | 1861763823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23890) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 26193) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |