NPI | 1871726844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: KY 005476) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005476) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2011-08-18 |