| NPI | 1366874992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023060) |
| 225100000X Physical Therapist (Licence: CA PT42224) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-07-21 |