| NPI | 1871785139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV WV001109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011600) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |