| NPI | 1114316239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16061) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2016-11-28 |