| NPI | 1427610252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34738) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-03-06 |