| NPI | 1689290967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-007967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018691) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-08-20 |