| NPI | 1578573549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 103101) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006768) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-03-16 |