| NPI | 1164838892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005313) |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-07-21 |