| NPI | 1568514131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03678) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-06-10 |