| NPI | 1184286437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2019018) |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2023-04-03 |