| NPI | 1952773913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30886) |
| 225100000X Physical Therapist (Licence: MS 5738) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2021-07-12 |