| NPI | 1750366175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007579A) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-07-02 |