| NPI | 1548703770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY KY-005665) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299569) |
| Enumeration Date | 2016-11-20 |
| Last Update Date | 2021-01-12 |