NPI | 1518504240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006190) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 006190) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2022-06-14 |