| NPI | 1740502376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP051273T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 4224) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2026-05-15 |