| NPI | 1003421298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008129) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY TP2020059) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-11-18 |