| NPI | 1942281449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006636) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH PT3549) |
| 225100000X Physical Therapist (Licence: OH PT003549) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: KY 06636) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-12-16 |