| NPI | 1780713842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05002013A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 001334) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-12-03 |