| NPI | 1740638964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005807) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |