| NPI | 1952839094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY T16085) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-12-08 |