| NPI | 1083712582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 3090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT3090) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-17 |