| NPI | 1417446022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009735A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5260) |
| 225100000X Physical Therapist (Licence: KY 004709) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-14 |