| NPI | 1801053624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05000765A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 000730) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |