| NPI | 1922489426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 002341) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-09-25 |