| NPI | 1114003126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 001977) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 001977) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-11-11 |