| NPI | 1053511535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006014) |
| 225100000X Physical Therapist (Licence: IN 05008248A) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-03-01 |