| NPI | 1982881520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH 011439) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 002422) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2017-04-25 |