| NPI | 1851921886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12818) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-07-16 |