| NPI | 1295282556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210312) |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2020-08-04 |