| NPI | 1891362828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010366a) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |