| NPI | 1306536644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2023002) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-09-08 |