| NPI | 1619756517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY CP025102T) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-15 |