| NPI | 1881955979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.012632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT.005504) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2014-01-24 |