| NPI | 1386605301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7167) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2025-05-20 |