| NPI | 1255859716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12796) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-02-14 |