| NPI | 1396145736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT003389) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-09-26 |