| NPI | 1568247021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH12014) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-08-29 |