| NPI | 1073029963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013691A) |
| 225100000X Physical Therapist (Licence: FL 32012) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-11-02 |