| NPI | 1396801585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH1908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008520) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-06-21 |