| NPI | 1316107907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004188A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 002491) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |