| NPI | 1114336252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8897) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |