| NPI | 1376973347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12517) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2020-02-14 |