| NPI | 1558476879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004952) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-08-22 |