| NPI | 1285814145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002242) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: KY 002242) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2023-04-24 |