| NPI | 1316396674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT 003576) |
| 225100000X Physical Therapist (Licence: MS PT5896) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |