| NPI | 1457529844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007340A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT-004184) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2011-01-06 |