| NPI | 1114759347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP038846T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15978) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-01-15 |