| NPI | 1609046796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 00001914) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 00001914) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-03-21 |