| NPI | 1346740644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 003781) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KY 003781) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |