| NPI | 1275164733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12378) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2021-06-01 |