| NPI | 1861650038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203319) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2023-06-05 |