| NPI | 1427212232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT008510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 23682) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-10-07 |