| NPI | 1790369015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2021059) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-09-16 |