| NPI | 1518975176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KY PT005828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22370) |
| 225100000X Physical Therapist (Licence: IL 070-014295) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-12-21 |