| NPI | 1366955098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT003881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT003881) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-06-06 |