| NPI | 1588025209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12749-24) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-09-27 |