| NPI | 1194029223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000009871) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2018-12-27 |