| NPI | 1396223483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TN 16451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007440) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-03-25 |