| NPI | 1275234783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 003967) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-01-31 |