| NPI | 1285113407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 1285113407) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-11-02 |