| NPI | 1619105889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-003711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004590A) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |