| NPI | 1508313008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9326) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-07-21 |