| NPI | 1134234743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 003722) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-08-21 |