| NPI | 1386000727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WY 1617) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WV PT003580) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-24 |