| NPI | 1982850897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05006727A) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |