| NPI | 1932160793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005549) |
| 225100000X Physical Therapist (Licence: PA PT007686L) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-01-04 |