| NPI | 1275268997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2022059) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-11-03 |