| NPI | 1962053488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2019086) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-10-31 |