| NPI | 1316365257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 010718) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-04-16 |