| NPI | 1477703684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT005666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009626A) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-08-04 |