| NPI | 1174835193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-005632) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 005632) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2019-01-16 |