| NPI | 1982727707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 11017) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20839) |
| 225100000X Physical Therapist (Licence: NC 8418) | |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2007-07-08 |