| NPI | 1518140250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 005142) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2014-12-22 |