NPI | 1407414105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007731) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY TP2019035) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2023-03-23 |