| NPI | 1295260230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 004217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34204) |
| 225100000X Physical Therapist (Licence: MD 26405) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2020-12-28 |