| NPI | 1366675100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005971) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008665A) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-02-17 |