| NPI | 1700976214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05001213A) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-12-11 |