| NPI | 1174405468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2025041) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-08-07 |