| NPI | 1326524109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16755) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |