| NPI | 1285755645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT001855) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY PT001855) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-16 |