| NPI | 1235786088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 003757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 026115) |
| 225100000X Physical Therapist (Licence: CA 295590) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |