| NPI | 1821257643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 005285) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05013704A) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2020-06-09 |