| NPI | 1285125005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013126A) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-05-19 |