| NPI | 1457635997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004181A) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2017-01-26 |