| NPI | 1285290023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004117) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-09-28 |