| NPI | 1821144965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11443) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-11-18 |