| NPI | 1508194077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003812) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 0015558) |
| Enumeration Date | 2009-11-21 |
| Last Update Date | 2009-11-21 |