| NPI | 1326147364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 000412) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 01707) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |