| NPI | 1427367200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 1419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 4166) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |