| NPI | 1821301573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT10621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005619) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2017-04-06 |