| NPI | 1609318880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 06992) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2022-11-21 |