| NPI | 1255882114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013695A) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-08-02 |