| NPI | 1043736945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 003833) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-05-09 |