| NPI | 1811738347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2024071) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-08-20 |