| NPI | 1477034262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043515) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-07-09 |