| NPI | 1831307008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004721A) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2024-02-01 |