| NPI | 1033317235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTA680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY A01003) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-09-03 |