| NPI | 1487844783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12570) |
| 225100000X Physical Therapist (Licence: KY 05143) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-10-17 |