| NPI | 1801972997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 004152) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05007655A) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |