| NPI | 1033464912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005854) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-01-11 |