| NPI | 1164038261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2020066) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-04-13 |